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Permit (109) III CITY OF TIGARD MECHANICAL PERMIT III8 COMMUNITY DEVELOPMENT Permit#: MEC2016 00184 T IG.,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/17/2016 Parcel: 2S103AA01702 Jurisdiction: Tigard Site address: 10770 SW WALNUT ST Project: NAUSE-MCCORD Subdivision: ECHO HEIGHTS Lot: 2 Project Description: Gas fireplace insert. Contractor: OWNER Owner: NAUSE-MCCORD, MOLLY 10770 SW WALNUT ST TIGARD,OR 97223 PHONE: PHONE: 541-415-2015 FAX: FEES Specifics: Description Date Amount Gas Fireplace 03/17/2016 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 03/17/2016 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/17/2016 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00.9D.---You—may- a -in ; opy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �` Issued By: gz..oc.7__ee.__ Parmjttee Si - �ril��— ----..-"-----r?" `....... _diror Call 503.639.4175 by 7:00 a.m.for the next available insp• ion date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE FSI.OyI.v City of Tigarded DateRece/By: ® %tl� Permit No.: ✓11 , _ 1/ !,j " ;� 13125 SW Hall Blvd.,Tigard,OR V 111 Phone: 503.718.2439 Fax: 503.5 Plan Review Date/By: Other Permit:L�_ ‘2, !.� _ 1 CJ I c r.I Inspection Line: 503.639.4175 e �R. 1 6�!! L. Date Ready/By: ® See Page 2 for tP 1 Internet: www.tigard-or.gov p Notified/Method: MI Supplemental Information ` " . . , ,.° 3 f .e 2 £ x . , ;, .N. , � �=o ' weat � wst �i,xT.;ur t .:4,.,,c,,,,4„,,46,....--.,,,',.,,,%:-',,, a� aas t,,x .,,r � �. . z Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/alFj� t • performed. Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: {� � mechanical materials,equipment,labor,overhead,and profit. ,.r 4 >? :t_;,n a, b "r°S Value:$ �� „ �p xti7 }� g .�,'ia ,:;,mak v t'.1 a d.. ,•,T-.,, : Liu i jQ,t 7,.0' . i �r =1 '4 E .�:s1 rk ' :�?;'Saar.. ,�'. iZr 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total + ; Heating/cooling: dr,' s ,41 a 'g� t,-;„,i;" rt ,:„..00:510t,:,,,,../1..,;; ;,-, rr con t w „ w �, �..' . , .� ,..,..; t` ' difoning 46.75 Job site address: 1 0 7.0 Su-) L1 hhu t. St Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1 J A„{ / ©/2- 7 f7Zz3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 f " , tDE IP TON RK . . ;-. fireplace/insertt 33.39 35 39 Gas Flue vent for water heater or gas t7j„e Q/4 1)L /7L / ' //��CiN-1fireplace 23.32 I uv' ` Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 .RoiEIfl O 0 Other: 23.32 - _,(� --` '` - Environmental exhaust and ventilation: Name: �0// Aja use -A'[ �'-Co(.49 Range hood/other kitchen equipment 33.39 Address: to 4 7D S w a i4,..-e S -{- Clothes dryer exhaust 33.39 City/State/ZIP: --T-7-0 A,..,e / 0 / q 7-2..z_.? Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(SY( ) t{% -Z 04-- Fax:( ) Attic/crawlspace fans 23.32 pLIA , © CONTACT p�N' Other: 23.32 .�' ��. .ori, - Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: ��Me Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: Barbecue "t ,COR,, ,. ,'..,,,,,;-,,,,i, „. Clothes dryer(gas) Business name: Other: Address: Subtotal -3-?. 3(j City/State/ZIP: Minimum permit fee($90.00) C 1.-u) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) /d.At) CCB lic.: TOTAL PERMIT FEE a-V„Asi This permit application expires if a permit is not obtained within 180 � days after it has been accepted as complete. Authorized signatur:�j�/�WA'CI ® * Fee methodology set by Tri-County Building Industry Service Board Print name: /vlO/1 GtuSC-- M c-(or Date: 3A /i4 I.Building Permits MEC Pet pp_0401 13.doe 440-4617T(I I'02 COM WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I: Building Pennits MEC_PennitApp_0401 13.doc 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10770 SW WALNUT ST, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final PASS - No C of O MEC2016-00184 Jeff Grove Violation Summary: Inspector Contractor